Where is two thirds of the body’s water found?
a. Interstitial fluid spaces
b. Vascular system
c. Intracellular fluid compartments
d. Intraocular fluids
Ans: c. Intracellular fluid compartments
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To indirectly estimate the jugular venous pressure (JVP) of a patient positioned supine at a 45° angle, you would measure in centimeters the distance from the
a. sternal notch to the point of maximum venous engorgement. b. sternal angle (angle of Louis) to the top of the distended neck vein. c. tip of the manubrium to the point of maximum venous engorgement. d. xiphoid process to the top of the distended neck vein.
The nurse is reviewing assessment data collected during a routine physical examination. Which finding should be investigated as a pathological process of the hematologic system?
1. WBC: 9000 2. Enlarged spleen 3. Hemoglobin: 15.0% 4. Pulse rate 86 beats per minute
The nurse, providing care to a patient with an increase in intracranial pressure, realizes that in order to prevent an increase in intracranial pressure, an increase in the volume of brain tissue will be accompanied by a (an)
1. increase in another of the intracranial compartments. 2. decrease in another of the intracranial compartments. 3. increase in the blood flow to the brain. 4. decrease in the blood brain barrier.
How does the nurse use critical thinking when accurately assessing vital signs?
A) Evaluating assessment techniques B) Developing nursing diagnoses C) Monitoring evaluations D) Planning assessment techniques